Active NPI
Luis Alberto Camarena
- Behavior Analyst
- El Paso, TX
National Provider Identifier
1205107042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 415 Ephesus CT
El Paso, TX 79927-4315 - Phone
- (915) 630-9465
- NPI assigned
- Jan 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
415 Ephesus CT
El Paso, TX 79927-4315
Mailing address
415 Ephesus CT
El Paso, TX 79927-4315
Phone (915) 630-9465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262028616 | Other | NM | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1205107042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 EPHESUS CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799274315",
"telephone_number": "915-630-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 EPHESUS CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799274315",
"telephone_number": "915-630-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARENA",
"first_name": "LUIS",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "262028616",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.